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1477902815
KATHY PARKER
FT BENNING, GA
NPI
1477902815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
125J00000X Dental Therapist
(Licence: KY xxxxx)
Enumeration Date
2016-06-07
Last Update Date
2016-06-07
Business Address
-- KATHY PARKER
2828 SIGHTSEEING RD
FT BENNING, GA 31905
Phone number: 706-545-4627
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Mailing Address
-- KATHY PARKER
3307 HUMMINGBIRD CT
PHENIX CITY, AL 36867-7127
Phone number: 706-536-7651
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